DR. DOUGLAS W EDGREN (MD) – Family Medicine Physician, NPI 1033145164
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
212 GENERAL PRACTICE in IL
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Provider Addresses for DR. DOUGLAS W EDGREN (MD)
PO BOX 15565
LOVES PARK, IL 611325565
Phone: (815) 654-7772
Type: Mailing
5727, Strathmoor Drive, Rockford, Rockford Township, Winnebago County, Illinois, 61107, United States
ROCKFORD, IL 611075180
Phone: (815) 227-9594
Type: Location
1331 PRAIRIE AVE STE 1
CHEYENNE, WY 820094867
Phone: (307) 632-0728
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 75 Open Payments records for all available years, with a total value of $1,368.
Total Amount is formed as General ($1,368) + Research ($0) + Ownership ($0) = $1,368.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($472).
Total Amount
$1,368
General + Research + Ownership
Payments
75
Total payment records
General Amount
$1,368
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $472 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $98 |
| Exact Sciences Corporation | $89 |
| GlaxoSmithKline, LLC. | $72 |
| Amgen Inc. | $59 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-02-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150205001773 | I | General Practice | WY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 1,080 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 820 | 508 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 557 | 388 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 430 | 311 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 420 | 304 | $0 |
Insurance plans in this area (ZIP 61132)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL PRACTICE | IL | 20610 | Aspiration and/or injection of large joint or joint capsule | 32 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WY | |
| Nurse Practitioner | WY | |
| Nurse Practitioner | WY | |
| - | WY | |
| Nurse Practitioner | WY |
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